F I L E D

UNITED STATES COURT OF APPEALS

FOR THE TENTH CIRCUIT

United States Court of Appeals

Tenth Circuit

JUN 4 1999

PATRICK FISHER
Clerk

AURORA L. CHESTER,
Plaintiff-Appellant,
v.
KENNETH S. APFEL, Commissioner,
Social Security Administration,

No. 98-7106
(D.C. No. 97-CV-119)
(E.D. Okla.)

Defendant-Appellee.

ORDER AND JUDGMENT

Before TACHA , BARRETT , and MURPHY , Circuit Judges.

After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument.

This order and judgment is not binding precedent, except under the
doctrines of law of the case, res judicata, and collateral estoppel. The court
generally disfavors the citation of orders and judgments; nevertheless, an order
and judgment may be cited under the terms and conditions of 10th Cir. R. 36.3.

Claimant Aurora Chester appeals the district courts order adopting the
magistrate judges findings and recommendations and affirming the final decision
of the Commissioner of Social Security that she is not disabled within the
meaning of the Social Security Act, 42 U.S.C. 423(d) and denying her claim
for disability and supplemental security income benefits. We exercise jurisdiction
under 42 U.S.C. 405(g) and 28 U.S.C. 1291, and reverse.
Claimant, then age forty-six, filed applications for benefits in 1993,
claiming she was unable to work since April 15, 1992 due to chest pains,
shortness of breath, neck pain, shoulder pain, headaches, stress, fatigue and
depression. Her requests for benefits were denied initially and on
reconsideration. She then received a hearing before an administrative law judge
(ALJ), at which she and two medical experts testified.
The ALJ denied claimants claims at step four of the evaluation sequence.
See generally Williams v. Bowen

, 844 F.2d 748, 750-52 (10th Cir. 1988).

He concluded that claimant has severe impairments consisting of chest pains,

shortness of breath, neck pain, shoulder pain, headaches, asthma, stress, fatigue
and depression. However, he determined that she did not have a listed
impairment or combination of listed impairments, and that she retained the
residual functional capacity (RFC) to lift and carry ten pounds occasionally and
twenty-five pounds frequently, to sit without restriction, to stand and walk for
-2-

six hours in an eight-hour day, limited to doing no overhead work and only
occasional climbing in clean air environments at jobs in non-public settings
involving the performance of simple, repetitive tasks, with limited contact with
coworkers in a low stress environment. The ALJ determined that the exertional
requirements of claimants past relevant work as a home health care aide (which
he described as a homemaker) were not precluded by these limitations. He
therefore concluded that claimant was not disabled. The Appeals Council denied
review, making the ALJs decision the final agency decision.
The district court, adopting the report and recommendation of the
magistrate judge, affirmed the Commissioners decision. We review the
Commissioners decision to determine whether his factual findings are supported
by substantial evidence and whether he correctly applied the relevant legal
standards. See Castellano v. Secretary of Health & Human Servs.

, 26 F.3d 1027,

1028 (10th Cir. 1994).

On appeal, claimant contends the ALJ failed to perform the analysis
required at all three phases of the step four determination. Step four of the
sequential analysis, at which the ALJ found claimant not disabled, is comprised of
three phases. In the first phase, the ALJ must evaluate a claimants physical and
[RFC], . . . and in the second phase, he must determine the physical and mental
demands of the claimants past relevant work.
-3-

Winfrey v. Chater , 92 F.3d 1017,

1023 (10th Cir. 1996). In the final phase, the ALJ determines whether the
claimant has the ability to meet the job demands found in phase two despite the
mental and/or physical limitations found in phase one.

Id. The burden of

proving disability remains with the claimant at step four; however, the ALJ does
have a duty of inquiry and factual development.

Henrie v. United States Dept

of Health & Human Servs. , 13 F.3d 359, 361 (10th Cir. 1993)
I.
We first address claimants contention that the ALJ failed to make a proper
step four analysis at the second and third phase because he did not make specific
findings regarding the demands of her past work and improperly relied on
vocational expert testimony to make his conclusion that claimants determined
limitations did not preclude the requirements of her past relevant work as a home
health care aide.

See Winfrey , 92 F.3d at 1024-25 (requiring fact findings

regarding past work and discouraging practice of delegating fact-finding

responsibility to vocational expert). At the administrative hearing, claimant
testified that she had worked from 1980 through April 1992 as a nurses aide in
various nursing homes. She also testified that, because she needed the money,
she occasionally worked part time as an on-call nurses aide and occasionally
worked as a home health care worker in peoples homes.

-4-

However, the ALJ failed to develop the record with factual information
regarding the actual work demands of the claimants past relevant work, and
whether, given her physical and mental limitations, she could meet those
demands. See id. at 1024. The ALJ did ask claimant what her nurses aide work
involved, see R. Vol. II at 33, but he did not inquire into the mental requirements
of that job, nor did he ask her about the physical or mental requirements of her
home health care work.
The ALJs failure to inquire about the mental demands of her home health
care work is particularly critical in this case. The psychiatrist called to testify
about claimants mental limitations, Dr. Bolter, testified that she suffered from
a major depressive disorder characterized by appetite and sleep disturbance,
psychomotor agitation, feelings of worthlessness, thoughts of suicide and
hallucinations.

See id . at 60-61. Claimant testified that she hears voices that

sound like the devil which tell her someone is going to come and kill her or that
something bad is going to happen.

See id . 57-59. Dr. Bolter testified that

claimants ability to maintain social functioning was markedly reduced, and that
she would only be able to work in a nonpublic setting, with simple, repetitive
tasks, if the job was low-stress and she had no contact with co-workers.

See id .

at 62-63. When asked by the ALJ how claimant managed to work , Dr. Bolter
opined that her jobs had very minimal kind of social challenge involved, so she
-5-

barely squeaks by.

Id. at 62. When the claimant was asked how she managed to

do her home health care work if she hears voices, she gave a rambling response
that indicated she was scared and nervous by the job and might potentially be
a risk to her patients because of her mental limitations.

See id . at 59.

The ALJ also failed to make any factual findings as to how claimants
impairments would relate to the actual demands of her work as a home health care
aide. At the hearing, the ALJ asked the VE if he was familiar with claimants
physical and mental limitations as described by Dr. Bolter and the other medical
expert who testified, and if the VE could assess those limitations in combination.
See id . at 64. The ALJ never specified what these limitations were, nor did he
give the VE any description of the work demands of claimants past relevant
work. In response, the VE merely gave his conclusory opinion that claimant
could still function as a home health care aide with her limitations.

See id .

In his written decision, the ALJ did identify claimants functional

limitations, but he never made any factual findings as to the physical and mental
demands of her work as a home health care aide, nor did he make any factual
findings comparing claimants limitations to the demands of her past relevant
work. The ALJ merely stated in his written decision that he concurred with the
VEs opinion. See id. at 19. As we explained in

Winfrey , the practice of

delegating the ALJs fact-finding responsibilities at step four to a VE is

-6-

discouraged because it is feasible for an ALJ to make specific findings about the
limited jobs that qualify as a claimants past relevant work.

See 92 F.3d at 1025.

An ALJ may rely on information supplied by the VE at step four, [but] the ALJ
himself must make the required findings on the record, including his own
evaluation of the claimants ability to perform [her] past relevant work.

Id.

Here, the ALJ merely adopted the conclusory opinion of the VE that claimant was
not precluded from doing her past relevant work. When, as here, the ALJ makes
findings only about the claimants limitations, and the remainder of the step four
assessment takes place in the VEs head, we are left with nothing to review.
Because we cannot reweigh the evidence,

Id.

see Castellano , 26 F.3d at 1028,

or make factual determinations on behalf of the ALJ, and because the ALJs lack
of specific findings here leaves us nothing to review,

see Winfrey , 92 F.3d at

1025, we must reverse and remand for further proceedings.

II.
Having determined the necessity of remand, we turn to claimants
contention that the ALJ failed to evaluate properly her physical and mental RFC
at the initial phase of the step four analysis because he erroneously discounted the
opinion of a consulting psychiatrist, Dr. McCarthy. Dr. McCarthy diagnosed
claimant as having had a major single depressive episode and gave her a global
assessment of functioning (GAF) score of thirty, which indicates claimants
-7-

[b]ehavior is considerably influenced by delusions or hallucinations or that she

suffers from serious impairment in communication or judgment or that she has
an inability to function in almost all areas. American Psychiatric Assoc.,
Diagnostic and Statistical Manual of Mental Disorders

(DSM-IV), (4th ed. 1994),

p. 32. 1 Claimant claims the ALJ failed to consider Dr. McCarthys opinion
because he did not discuss Dr. McCarthys GAF score.
It is clear from the record that the ALJ did not reject Dr. McCarthys
opinion, and, indeed, discussed her opinion in his decision. Although the ALJ did
not specifically discuss Dr. McCarthys GAF scores in his final written decision,
the ALJ did indicate he had considered all of the evidence.

See Clifton v. Chater ,

79 F.3d 1007, 1009-10 (10th Cir. 1996) (The record must demonstrate that the
ALJ considered all of the evidence, but an ALJ is not required to discuss every
piece of evidence.). However, the ALJ may not use only portions of a report
which are favorable to his decision, while ignoring other parts of the report.
See Smith v. Bowen , 687 F. Supp. 902, 904 (S.D.N.Y. 1988) (Although the ALJ
is not required to reconcile every ambiguity and inconsistency of medical

A GAF score is a subjective determination which represents the clinicians

judgment of the individuals overall level of functioning. DSM-IV at 30. The
GAF Scale ranges from 100 (superior functioning) to 1 (persistent danger of
severely hurting self or others, persistent inability to maintain minimal personal
hygiene, or serious suicidal act with clear expectation of death).
See id . at 32.

-8-

testimony, he cannot pick and choose evidence that supports a particular

conclusion. (citation omitted)).
Because the ALJs discussion of Dr. McCarthys opinion does not mention
the GAF score of thirty, which does indicate a severe impairment, it is unclear
whether the ALJ considered this aspect of the report, or rejected this evidence,
favorable to claimants position, without discussion. On remand, in addition to
making the requisite findings regarding the demands of claimants past relevant
work and comparing her impairments with those demands, we direct the
Commissioner to reconsider the evidence of claimants mental impairments and to
include an evaluation and discussion of Dr. McCarthys GAF score. We note,
however, that our intent here is not to dictate any result, but simply to assure that
the correct legal standards are invoked in reaching a decision based on the facts
of this case. Huston v. Bowen , 838 F.2d 1125, 1132 (10th Cir. 1988).
The judgment of the United States District Court for the Eastern District
of Oklahoma is REVERSED, and the case is REMANDED with directions to

-9-

remand this case to the Commissioner for further proceedings in accordance with
this order and judgment.

Entered for the Court

James E. Barrett
Senior Circuit Judge

-10-